HomeMy WebLinkAbout16-17940 �; r''
CITY OF ZEPHYRHILLS
' S335-8TH STREEf
; � ($13)7$0-0020 �7 �'d
� � BUILDING PERMIT `
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PERMIT INFORMATION L.00ATION INFORMATION
Permit I�tumber: 17940 Address: 37'I9 BLACK DIAMQND DR LOT 245
Permit Type: ADDITION/ALTERATIQN ZEPHYRHILLS, FL.
Class �of Work: 434-RDD/ALT RESIDENTIAL Township: Range; Book:
Propo�ed Use: MOBILE Ht"�ME PARK Lot(s): Block: Section:
S uare Feet: Subdivision: MAJESTlC OAKS
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Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 20,OQ0.00 OWNER INFORMATION
Datei Issued: 1112212Q16 Name: NHC-FL115 L�G
Total Fees: 202.50 Address: 3719 BLACK DIAMOND DR
Amo��ant Paid: 202.50 ZEPHYRHILLS, FL. 33542
Date Paid: 11/22/2016 Phone: 813-783-7518
Wa';rk Desc: CARPORT 9 X 14, SUNROQM 18 X14, SHED & CC?NCRETE 14 X 14
� CUNTRACTOR S APPLiCATION FEES
SUNSTATE ALUMWUM INC BUILDWG FEE 202.50
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Ins ections Re uired
TER II 2Np ROU PL MB MI !NS LATI CEILIN
FOOTER BOND DUCTS iNSULATED SEWER MISG.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER WSULATION WAL.L M1SC.
DtJCTS It�STALI.ED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUGTlON PQLE FE2RME MISC. M1SC.
REIN�PECTZOIV FEES: (c)With respect ta Reinspec#ion fees will comply with Florida Statute 553.80 (�)(c)the
locai �overnmenfi shaii impose a fee of four times fihe amount of the fee imposed for the initial inspectian ar
i) first reinspection,wrhichever is grea#er,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may b�e found in the public recards of this caunty, and there may be additianai permits required from other governmental
� entities such as water management, state agencies or federal agencies.
"Wa�ning ta owner. Your faiture to recard a notice af cammencement may resutt in your paying twice for
improvements to your property. If yau intend to obtain financing,consult with yaur lender or an attorney
�� before recording your natice of cammencement."
Complete Plans,�pecificatians Must Accompany Application.All work shall be performed in accordance with
(� Ci Cocles and Ordinances. Nt�OCCUPANCY BEFOR�CA.
�{ NO OCCUPANCY BEFORE C.O.
I
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, 'CONT CTOR SIGNATURE PERMIT QFFI R
PERMIT EXPIRES IN fi MClNTHS WITHOUT APPR{JVED INSPEC'CION
CALL FOR INSPECTION - 8 HOUR NQTICE REQUIRED
PRCITECT CARD FROM WEATHER
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FQRMSII '
FLORIDA BUILDING CODE,.ENERGY CONSERVATION
FOR�I 402-2010 Residential Building Thermal Envelope Approach ALL CLIMATE ZONES
Scope:Gomptiance with Seciion 462 of the ftorida Building Code,Enetgy Coaservafinn,shat!be demonstrated by the use of Farm 402 for single-and mulfiple-family residences oi three
stones or less in height,additions to existing resfdential buiidings,renovations to existmg residential buildings,new heating cooling and waier heating systems in existing buildings,as .
applicable:To comply,a buiiding must.meet or exceed all ot the energy efticiency requirements on Table 402A and all applica6le mandatory requirements summarized in Table 4028 oi this
form.!i a building does not comgly w�th this method nr Aiternate Eorm 4�2,it may s!'iil compty under Seciion 445 0!ihe Flarida Building Code,fnergy Canseroatioa.
PROJECTNAME: p��"'SGI.S I�G�r{f�'lo�^,- BUILDER: � „� y�.�'�u„r,.`,
ANDApDRESS: 3$J�D (�tAa(eQr 21e��*�.. PERMiTTtHG 4 �,�` � f �
Z-h�lts oFF�cE: �i (p T�-- �� /`` r �[�'
OWNER: �en�( {.•� V(Q Q 5e� PERMIT NO.: �� �� JURISDICTION NQ.: ' (
4eneral I��stmction5:
1 New construction which incorporates any ot the lollowing features cennot comply using ihfs method:glass areas in excess of 20 pe�ent oi conditioned floor area,electric resistance
heat and a�r handlers located in attics.Additlons<_6uU sq.lt.,renovafions and eguipment changenuts may comply by this method with exeeptions glven. �i
2.FEl1 in all!he applicable spaces oi the"To Be lnstailed"catumn on Tabte 402A with the information requested.AI1"'Ta Be tnstalled"vat�es must be equal to or more efficient than the
reqaired leveis.
3.Complete page 1 based on the"To Be Installed"column intormation. _
4.Read the requirements ot 7able 9D28 and check eaeh box to indicate your intent to comply with al!applicable liems.
5.Read,sign and date ihe"Prepared Sy"cedi{icatlon stafement at the botfom of page 1.The owner or awnets agent musf also sign and dafe the farm.
il
Please Pr(nt GK
1. Ne�construction,addition,or existing building 1. �{-r�j�,,,, ' "
2; Single-famlly detached or muttipie-tamity attached �, 5� ( �wi.
3. if mIuitipie-family-No.of units covered by this submission �, ---
4. Is tlh(s a worst case?{yes/no
) 4. 4�Q
5. Coii ditioned fioor area(sq.ft.} g, a��-, ._.
6. Glass type and area:
a U-factor 6a. �tP�
b.SFTGC 6b. _3(..�
c.Glass area 6C. �f� sq.tt.
7. Parcentage af gtass to floor area � �3 �
8. Flolor type,area or perimeter,and insulation.
a.Slab-on-grade{R-va]ue} 8a.R= lin.ft.
b.Wood,raised(R-value) gk�,R-_.��_ atjs sq,n,
c.Wood,comman(R-value) 8c.R= sq;lL
d.Conerete,raiseci(I2-value) $�I.R- sq.ft. -
e.Concrete,common(R-value) 8e.R= sq.ft.
8. Wal!type,area and insulation: `
a.Ezterior: 1. Masonry(Insuiution R-value)
2. Wood frame(Insulation R-value) 9a-1. R= sq.ft
9a-2. R;__L�__._, �!O sq.ft.
b.Adjacent �. Masonry{Insulation R-vatue} 9h_i. R= sq.fL
2, Wood frame(Insulation R-value) g�j-p, R=�_ ��v sq.ft.
iQ. Ce3ling type,area and insalation:
a.Under attic(Insulation R-value) 10a.R= sq.ft.
b.Single assembly(Insulation R-value) 10b.R= 1�0 �[a S Sq.ft
11. Air dlstribu#Jon system:Ouct 3nsutafion,location,Qn
a.Duct lacation,insulation � 11 a. R= _�__
b.AHUlocation , 11b, p�. - f.IfA
c.Qn,Tesi repace attached(<0.03;ye.stno} 11 C.Test report att0ched? Yes �o
12. Coaling system:
�� �`i}'P~ � 12a.Type: Pl�.�G
b.E�ciency t2b.SEER/EER: t'3
13. Heating system; 13a.Type:�D kW
I �,�ype - �3b.FlSPFlCOP1AFUE: ?.?
b.Efficisncy
14. HV�C sizing catcutation.attached , 14. Yes �
75. Hot�water system: •
15a.Type: ���
&Type i56.EF:
� 6,Efficiency
1 hereby ceriify ihat the pla d spacifications covered by,the caiculation are€n compliance with the Ftorida Review at plans aod specifications rnvered by thls cafoutatian indicates complia�ce with ihe Florlda
i Energy Code. Energy Code.Belore construetion ls completed,this buiidin wi be inspected�or compiiance in
accordance wiih Seat(on 553,908,F.S.
PREPAREOI@Y• DATE: �!-�-l�F
CODE OFFIClAL. %
I hereby certity ihat i uilding i;In co 'n ith th�fiorida Energy Code: ����� ��
OWNERAGENT: ,3�Zj DATE: � DATE
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C.4 2U10 FLORtDA BUILDING CODE-ENERGY CdNiSERVATidN
�i - -
- , FORMS
TABLE 402A .
BUILDING COMPONENT pERFORMANCE CRITERI ' � INSTALLED VALUES:
-Factor<0.65
Windows(see Note 2): SHGC=0.30 U-Factor=
%otCFA<=20% � SHGC=
S li hts U-Factor<0.75 %of CFA=
' Doors:Exterior door U-Factor U-Faclor<0.65 U-Factor=
Floors: Slab-on-grade � No requirement R-Value=
Over uriconditioned s aces see Note 3 R-13
Walls-Exl.and Adj.(see Note 3):
Frame R•13 R-Value=
� Mass (see Nole 3)
Interior of wall: R-7.B R-Value=
Exterior of wall: R-6 R-Value=
Ceilings(see Notes 3&4) R=30 R•Value= Test report
� Feflectence 025 Reflectance= Attached7
i Yes/No
Air distribution system(see Note 4)
� Duatwork&eir handling unit Localion: Test re ort
Unconditioned space Not allowed P
' Condilioned space Attached7
Yes/No
Duct R-value R-value z 6 R-Value=
, Air leakage On , Qn 5 0.03 0n_
, Air conditlonin s slems see Note 5 SEER=13.0 SEER=
Heating system
, Heal pump(see Note 5) Cooling: SEER=13.0 SEER=
Heating: HSPF=7.7 HSPF=
Gas fumace AFUE 78% AFUE_
Oil fumace AFUE 78% AFUE_
Eledric resistance:Not aliowed(see Note 5) ,
Waler heeting system(storage type)
Electric(see Note 6): gal:EF=0.92 Gallons=
5 aI:EF=0.90 EF=
Gas flred(see Note 7): 40 ga. - . 9 � � Gallons=
Other(describe): 50 gal:EF=0.58 EF=
� (1)Each component present in the As Proposed home must meet or exceed each of the appliCable pertormance criteria in orderto comply with this code using this method;
otherwise Section 405 compliance must be used.
(2)Windows and doors qualifying as glazed fenestration areas must complywith both the maximum U-Factorand the maximum SHGC(solarHeat Gain Coefficient)criteria
and have a maximum total window area equal to or less than 20%of the conditioned floor area(CFA);othenvise Section 405 must be used for compliance.
Exception: Additions of 600 square feet(56 m2)or less may have a maximum glass to CFA of 50 percent.
(3)R-values are for insulation material only as apptied in accordance with manufacturers'instaliation insVuctions.For mass walls,the"interior of walP'requirement must be
met except if at least 50%of the R-6 insulation required for the°exterior of wall"is installed exterior of,or.integral to,the wall.
(4)Ducts&AHU installed substantially leak free per Section 403.2.2.1.Test by Class 1 BERS rater required.
Exception:Ducts installed onto an existing air distribution system as pari of an addition or renovation;duct must be R-6 installed per Sec.5032.72.
(5)For all conventional units with capacities greater than 30,000 Btu/hr. For other types of equipment,see Tables 503.2.3(1-8).
Exception:The prohibition on electric resistance heat does not apply to additions,renovations and new heating systems installed in existing buildings.
(6)For other eleciric storage volumes,minimum EF=0.97-(0.00132 x volume).
(7)For other natural gas storage volumes,minimum EF=0.67-(0.0019 x volume).
TABLE 402B MANDATORY REOUIREMENTS
COMPONENTS " SECTION RE�UIREMENTS CHECK
- To be caulked,gaskeled,weatherstripped or otherwise sealed.Recessed lighting IGrated as meeling ASTM E �
Air leakage 402.4 283.Windows and doors=0.30 c(m/sq.tt.Testing or visual Inspection required.Freplaces:gasketed doors&
ouldoor crombustion air.
' Ceilings/knee walls 405.2.1 R-19 space permitfing.
Programmable thermostat 403.1.1 Where forced-air}umace(s primary system,programmabla thermostet is required.
Air dstribution system 4032 Ducts in attics or on roofs insulated to R-8;other ducts R-6.Ducts tested to�,=0.03 by a Class 1 BERS rater.
Heat trap required tor vertical pipe risers.Comply with efficiencies in Table 403.4.3.2.Provide switch or cleaAy
Water heaters 403.4 marked circuit breaker(eiectric)or shutoft (gas).Circulaling system pipes insula[ed to=R-2+accessible manual
OFF switch.
Spas and heated pools musl have vapor-retardant covers or a liquid cover or other means proven to reduce heat '
Swimming pool 8 spas 403.9 loss except if 70%of heat fram site-recovered energy.Off/timer switch required.Gas heaters minimum thermal
efficien =78% 82%aRer M16/13.Hea1 um ooI heaters minimum COP=4.0.
Sizing calculation peAortned 8 altached.Minimum efficiencies par Tables 503.2.3.Equipmenl efficiency verification _
Coolinglheating equipment 403.6 requlred.Spaclai occasion cooling or heating capacity requires separate system or variable capacity syslem.
Eleclric heat>10kW must be divided into two or more sta es.
Lighling equfpment 404.1 At least 50%of pertnanently installed lighting fixtures shall he high-efficacy lamps.
2010 FLORIDA BUILDING CODE—ENERGY CONSERVATION ' C.5
� — —
8'l3-7B0-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Buiiding Oepar#man#
Date Received f f .�s ' ' 7�"'�3 _ S�/�'
1 • Phane ConEac#for Fermift�n
Owner'sName l., ��� �G M/�i� Ow/nerPh,odneN�e ���
9 �
.r �l�—a��/ ' o���l l
�� 6_.. ML�j t� •J�P" .�I� t�G[QIr-RL � �
Owner's Address �'" dwner Phone Number
Eee Simpis Titiehotder Name � � Owner Phone Num4er �
� Fee Simple Titlehoider Address
', JOBApDRESS `�fG[� ��{�?2'(�L� ����4�] ��» 33�� LOT# o���
StlBDNtStdN �L�$$�"'1 C G,F S PAE2GEL 10�f � �-�o cr�-� - C1� `QVI t1V'Q V��
(OBTAINED FROM PROPER7Y TAX NOTICEj
WORK PROPOSEp e NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH
tNS7A�L REPAIR
I PROPOSED USE Q SFR Q CQMM � OTHER
�' TYPE pF CONS7RUCTION Q BLOCK Q FRAME � STEEI. Q
DESCRIPTION OF RK ' � �;(' �+L( f�T1�YL1 at k'� ��LjkC�'�T�-
BUILDtNG 3t2E `S�'n trOt�.- )`7j'Xl�{ SQ FOOTA6E �y r� � HEIGHT �_____�
TRT'TI"1"'I�T /[T����1�1"'f�TFTi�iT'1'TrTf�TrP'TTI�LTTI"rrl"1'Y'Tr["1"'1"1"1"I�I�rIT'Pf�T�'
�UILDING �'
� �,� �� 4\VALUATION OF 70TAL CONSTRUCTIOPS
t QELECTRICAL $ _ ... �AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
PLUMBING $ ����
� . G ''� �
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�tNECHANIGA� �� VALllAitON OF MECHANlCAL INSTALLATidN �
_ �� .,���
OGAS Q ROQFING Q SPECIALTY 0 OTHER �� ✓ �tt��
FIh31SHED FtOOR ELEVATIOtSS FL40D ZONE AREA QYES NO �1 �j� �` t �
I t �%]
-.-;-�*-0-T;-..�-�:-.-,r.�-.-C-:-r;--.�-.-r.-:-�-'•-�:-'•-:-•-��:-:.Y:-:-F-C-�:�-A-:�-:-C-�-�;-C-:��;-�-T:-:-;r:-rC-.
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BUILDER /��� '� (�' COMPANY GI C4"�"Y ! GC k" �
SIGNA7URE '�^3 REGISTEREO Y/ N FEECURREA Y/N
Address ,�"r "}�'jC� I�`1� ���'�/i License# �����0 �J ��
ELECTRIGSAN � � G4MPANY �
SiGNATURE RecIs7EREo Y/ N p�curu.en Y!N
Address License#� �
PLUMBER � � COMPANY �
SIGNATURE � REGIS7ERE0 Y J N FEE CURREA Y/N
Address License# � �
MECHAhI1GAt � � GOMPANY � �
SiGNATURE REGIS7ERED Y! N FEE CURRE� Y 1 N
Address license# � �
OTHER � � COMPANY �
SlGNA7URE � REGIS7ERED Y/ N FEE CURREA Y/N
Address License# � �
IIIIIIIIIIIII.IIIIIIIIIIIIIIIIIIIIIIIIIIIt1111111I11I111I111tI1i1111
RESIDENS[AL Attach{2)Pla#Ptans;{2}sets oE Suiiding Pians;{1}set of Energy Farms;R-0-W Permit for new consWction,
Mfiimum ten(t Oj working days after submiffai date. Required onsite,Construcfian Ptans,Stormwater Plans w/Siit Fence instalted,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach{2)complete sets of Building Plans pius a Life Safety Page;{1)set of Eoergy Forms.R-0-W Permit for new consVucUon.
Minlmum ten(10}working days afler submitfal dafe. Requtred onsita,Construction Plans,Stormwater Plans w!Sift Fence instatted,
San(tary Facilities&1 dumpster.Slte Work Permit for aIi new projects.Ail commerc(al requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for a(t NEW canstrudlon.
! .�I-l--{-i.-S-t-i-i-i-i-i-t-I-i-1�-t-:-.�C-C-1-i-I-t-�»i-l�i-�-�i-I�-t-R.i-�-t�-F-t-�-F-t-t-I-�i�i-i..1-.I-t-t-h-4-t-1-�i-1--i-i-S-�Fl--t-i-.
Directians:
Fill outappllcation completely.
� Owner&Contractor sign back of applica6on,notarized
I f• If over$250Q,a Notice of Commencement Ss reqaired. (A!C apgrades over$754d)
Agent(for the contractor)or Power of Attomey(for tha owner)wouid be someone with notarized lerier from ovmer authodzing same
4YER THE GOUNTER PERMSTfiNG {capy of canfract required)
IReroofs if shingfes Sewers Service Upgrades AIC Fences(PIot/SurveylFootage)
( Driveways-Not over Caunter if on public roadways..�eeds ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes resporisibility for compliance with any � ,
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulafions. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what.licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you,as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
Couniy.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore,if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner'prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating i
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensifive
Lands,WatedWasfewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Aftering i
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. i
- Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this a�davit prior to wmmencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs,wells, pools, air conditioning, gas, or other installations not specifically included in fhe application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from fhereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117 03 � � �/`����
OWNERORAGENT ' CONTRACTOR �.���
Subscribed an b�worn o(or affirme before me this S b�cri�a v�iorn to(or affirmed)before me this
/
Who is/are personaliy known to me or has/have produced Who is/are per aliy kn wn lo me or haslhave produced
as identification. as(dentific ' n. i
<
Notary Public r� ��Notary Public
Cammission No. Commis '�
��"'" JACQUELINE BOGES
:=�41•n•Y•Pf�B�i�i.
Name of Notary typed,printed or stamped Name o g e�,k�ri
=�� •o: Expires December 12 291� '
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
� Contractor/Homeowner: /)%T�f��
Date Received: /f — / �— /�p
,/� ,
Site: j .�`�/� iC7 C���l� ' %����I u�
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Permit Type: .��� �l3�!, �L�p�� Sl �' �.cjl�4�/�1� •
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ '
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This comment sheet shall be kept with the permit and/or plans.
�
������
Kalvin Switzer—P s aminer Date Contractor and/or Homeowner I
(Required when comments are present)
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THE UNDERSIGNED hereby gives notice that imprpvement wiil be made to cpdain real property,antl In accordance witb Chapfer 713,Florida Stalutes,
( the loltowing infortnution is pravided in this Notice of Comrnencement: _� �c
1 DescripUon ot Prnperty: Parcel Identiflcation No, o� . (�Z�7�J- Va�d G�� �'Q(�,
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2. General DescripUon of Improvement�.,-���L2/"'lLlf� (,(/ � G�'kC�+.,,
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3. Owner Inlormation or Lessee i ortnation iC t1i Lessee contracted(or ihe im�pfr�v ment:
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Name of��ee S(mpte TiOeholder.
{tf diNerent[rom Qwner(isted above)
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Section�j13.13{1j(aj{7),Florida Slatutes: � •• �
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Teiephone Number ol Person or Entity Designated by Owner • ' � • tiy^'�,r`��� �
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9. Expiratlii n date of Notice of Commencemeni(the expiration date may nat be 6efore the compietion oi construdion and finai payme»t io fhe �' 0 .a- �
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WARNI(JG 70 OWNEFt: ANY PAYMENTS MADE BY THE OWNER AFTER 7HE EXPIRATION pF THE NQTICE OF COMMENCEMENT �"� *�� " ��
ARE CONStDEftED iMPROPER PAYMENTS UNDER CHAPTER 713, AAft7 1, SECTSON 713.13, FLQRiDA STATUTES, AND CAN �,_(;_ ,
RESULT IN YOUR pAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF GOtvtMENCEMENT MUST BE �.~..� �� - �pq„
RECORDED AND POSTED ON THE JOB SITE BEFORE 7HE FIR57 INSPEC71ON. IF YOU INTEND TO 067AIN FINANCING,CONSULT p�rG- � ' �p�
WiTk}�OUR IENDER OR AN ATTORNEY$EFORE COMMETJCING W012K OR RECOROtNG YOUR NOTICE OF COMMENCEMENT ��9 � <����
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� Under plenalty of perjury,I dectare that i have read the foregoing�atica at commencernent and that the facts stated therein are true to the best z t�v o ��
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STA7E OF FLORIDA l�( ,...-�-' ��� ''��U Y
CQUNTY 4f PASCO Xl � - �-�-�-�•�-�- '.�`'iym� � ��� (� �
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ARCHITECT I \ V DATE OF PLANS
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We herei y submit specifications and estimates for• j --�
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� ! .��trACt-her�by to furnish material and labor—complete in accordance with-above specifications,for the sum of:
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�� Paymenl to be made as fllowsr---�' �. � �; � • ` d011ars'($ f _��i�� ).
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All unll aid balances subject to 1.5%monthly interest fee.
All matArial is guaranteed to be as specified.All work to be completed in a workmanlike
manner��according to standard practices.Any alteration or devlation from above specifications AUthOriZ2d
Si nature
involving entra costs will be executed only upon written orders,and will become an extra 9
charge Iover and above the estimate. All agreemenis contingent upon strikes, accidents •
or delays beyond our conhal.Owner to carry fire;tomado and other necessary insurance. Note:This p�oposal may be
Our workers are fully covered by Workman's Compensation Insurance. withdrawrl by us if not accepted within days.
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�I�CiC�1�ITCE Of KLDYCIrI���-The above prices,specifications � �� l�� �/�j � � "
and conditions are satisfactory and are�hereby accepted._You are authorized Signatufe ���{ �-�.--�
to do�the work as specified. Payment will be made as outlined above. `= . �,
Date Ilf Acceptance: Signature
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Category ALL Subcategory ALL
� Application Status ALL Complfance Method ALL
Quality Assurance Entity ALL Quality Assurance Entity Contrect Expired � ALL
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Search Results-A lications
FL Tvoe Manufacturer � Validated Bv Status
FL153-RS Revision Custom Window Systems Inc. Steven M.Urich,PE Approved
Historv Category:Windows (717)932-8500 �
Subcategory:Horizontal Slider
'Approved by DBPR.Approvais by DBPR shall be revfewed and ratified by the POC and/or[he Commfssfon if necessary.
Contac[Us::1940 North Monroe Street.Tallahassee FL 32399 Phone:850-487-1824
� The State of Florida is an AA/EEO employer Coovrfaht 2007-2013 State of Florida.::Privacv Statement::Accessibilitv Statement::Refund Statement
Under Flortda law,email addresses are publit remrds.If you do not want your e-mail address released in response to a public-records request,do not send
eledronic mail to[his entity.Instead,conWct the office by phone or by traditional mail.If you have any questions,please mntact 850.487.1395.*Pursuant to
Section 455.275(1),Florida S�tu[es,effecttve Odober 1,2012,Iicensees Itcensed under Chapter455,F.S.must provide the Departmentwlth an email address iP '
they have one.The emails provided may be used for o�cial communi�tion with the Ilcensee.However email addresses are public remrd.If you do not wish to
supply a personal address,please provfde the Department with an email�address whi�on•be made available to the public To determine if you are a Iicensee under
Chap[er 455,F.S.,please didc here.
, Produd Approval Accepts:
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• � � ' FL# FL161-RS li
Application Type � Revision I
Code Version z014 �
'i Application Status Approved
IComments
� Archived L,
Product Manufacturer Custom Window Systems Inc. I
Address/Phone/Email 1900 SW 44th Avenue ' �
� Ocala,FL 34474 �
(352)368-6922 �il
ekoss@cws.cc
Authorized Signature Koss Erin
ekoss@cws.cc
Technical Representative Erin Koss
Address/Phone/Emafl 1900 SW 44th Ave.
Ocala,FL 34474
(352)368-6922 Ext291 �
ekoss@cws.cc
Quality Assurence Representative Jay Lathrop
Address/Phone/Email 1900 SW 44th Ave.
Ocala,FL 34474
(352)368-6922 Ext291
jfathrop@cws.cc
Category Exterior poors
Subcategory Swinging Exterior poor Assemblies
Compllance Method Evaluation Report from a Florida Registered Arch(tect or a Licensed
Florida Professional Engineer
' C6 Evaluation Report-Hardcopy Recetved
Florida Engineer or Architect Name who developed Lucas A.Turner
the Evaluation Report
Florida License PE-58201
Quality Assurance Entity Keystone Certifications,Inc.
Quality Assurence Contract Exp(retion Date 07/21/2020
Validated 8y Steven M.Urich,PE
� Validation Checklist-Hardcopy Received
� Certificate of Independence FL161 RS COI EvalReo CWS-176E(Guardian Door).odf
Referenced Standard and Year(of Standard) Standard Year
AAMA/101/I.S.2-97 1997
ASTM E1300-04 2004
Equivalence of Product Standards
� Certified By
i
ISectians from the Code �
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Product Manufacturer Custom Window Systems Inc.
Address/PhaneJEmaif 1900 SW 44th Avenue
� Ocata,FL 34474
(352)368-6922 Ext255
sbrooks@cws.cc
Authorized Sfgnature Stephen erooks
sbrooks@cws.cc
Technical Representative Erin Koss
AddressJPhonejEmail I9Q0 SW 44th Ave.
Ocala,FL 34474
(352)368-6922 Exk291
ekoss@cws.cc
, Quality Assurance Representative Jay Lathrop .
AddressjPhonejEmait i900 SW 44th Ave.
Ocala,FL 34474
(352)368-6922 Ext291
jlathrop@cws.cc
Category Exterlor poors
Subcat8gory Swinging Exterlor poar Assembties
Compl3ance Method Eva3uation Report from a Ftorida Registered Architect or a Licensed
" Florida Professional Engineer
❑ Evaluation Report-Hardcopy Received
Florida Engineer or Archikect Naine who developed Lucas A.Turner
the Evaluation Report
Florida Ltcense PE-S8201
Quality Assurence Entity Keystone Certifications,Inc.
Quality Assurance Contract Exptration Date Q7J21J2Q24
Va1ldaCed By Steven M.Urich,PE
0 Validatian ChecklIst=Hardcopy Received
CertifiCate of Independence FLi61 RS COT EvalReo CWS-176E(Guardfan Doorl.qdf
Referenced Standard and Year(of Standard) Standard Year
AAMA/102/T.S.2-97 1997
ASTM EI300-04 2004'
� Equivatence af Product Staodards
iCertified By
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Product Manufacturer Norandex Buildfng Materfais Distribution
Address/Phone/Email 300 Executive Parkway West
Suite 100
Hudson,OH 44236
� (740)323-1787
Chrlstine.Watson@norandex.com
Authorized,Signature Ghristfne Watson
Chrlstine.Watson@norandex.com ,
Technica,l Representatfve Christine Watson
Address/Phone/Email 300 Executive Parkway West
Suite S00
Hudson,OH 44236
(740)323-1787
Christine.Watson@norendex.com
Quality Assurance Representative �
Address/Phone/Email
Category � Panel Walis
Subcategory ' Siding
Compliance Method Evaluation Report from a Fiorida Registered Architect or a Licensed
Florida Professional Engineer
Cd Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nieminen �
the Evaluation Report
Florida License PE-59166
Quality Assurance Entity Architectural Testing,Inc.
Quality As5urance Contract Expiretfon Date 12/31/2015
Validated By John W.Knezevich, PE
GQ Validation Checklist-Hardcopy Received
' Certificate of Independe�ce FL32500 R2 COI 2015 01 COI Nieminen.�df
Referenced Standard and Year(of Standard) Stand�rd Year
• ASTM D3679 2009
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Equivalence of Product Standards
CertfFied By .
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